Job Summary:

FHI 360 is a nonprofit human development organization dedicated to improving lives in lasting ways by advancing integrated, locally driven solutions. Our staff includes experts in health, education, nutrition, environment, economic development, civil society, gender, youth, research, technology, communication and social marketing — creating a unique mix of capabilities to address today's interrelated development challenges. FHI 360 serves more than 60 countries and all U.S. states and territories.

In Eswatini FHI 360 supports programming that is designed to strengthen national responses to KP including the Government of the Kingdom of Eswatini, key population leaders, organizations working with key populations, and private-sector providers to plan and implement services that support national and global goals in mitigating the HIV/AIDS epidemic, with a focus on key populations. The project supports implementation of activities that demonstrate marked improvements in access to and uptake of HIV testing, care, support and treatment services. The key elements of the FHI 360-led team’s strategic and technical approach are:

  • Identifying key populations and locales and comprehensively assessing risk,

  • Diagnosing “leaks” and revealing access barriers within the HIV services cascade,

  • Scaling up “what works” while innovating to ensure the most strategic use of resources and access to newly emerging technologies,

  • Addressing structural barriers and transforming local KP organizations,

  • Ensuring interventions are sustainable over the long term, and

  • Supporting the mainstreaming of human rights, gender and competency and capacity development.

    Position Summary:

    • ART Cascade

      • To implement, and monitor procedures to ensure that more than 95% of clients testing HIV positive are initiated on ART

      • To ensure and monitor that all ART clients are provided appointment reminders, appointment follow ups, confirmation of access of services, ART adherence support and monitoring and results to ensure productive outcomes.

      • To ensure more than 95% of ART clients are retained and that 95% of them reach and sustain viral load suppression.

      • To design, implement, and monitor procedures to ensure that more than 95% of ART clients regularly receive TB screening and those eligible for TPT are initiated accordingly.

        • PrEP cascade

          • To implement, and monitor procedures to ensure that more than 95% of PrEP clients continue receiving PrEP services

          • To implement, and monitor procedures to ensure that more than 95% of PrEP clients regularly receive STI screening and VMMC services

          • Program management

            • To work in collaboration with sub-granted partners and the Outreach workers (ORWs), in ensuring they are trained as peer navigators/expert clients; they are linked to ART/PrEP clients for following up on ART/PrEP linkage and retention/continuation; they are given targets and they regularly meet to review progress

            • To lead weekly, monthly, quarterly meetings with the sub-granted partners to review standardized data reports and progress on case management, identify bottlenecks/barriers and design efficient and effective solutions to address them

            • To develop a sustainable HIV care plan with each client, that requires additional support, that focuses on removing barriers to care, determining benefits, and linking to a long-term care provider.

            • to conduct weekly line listing of HIV positive clients to be linked to ART; HIV negative clients to be linked to Prep; ART clients eligible for MMD/ TLD; ART clients due for VL test; non-virally suppressed ART clients due for enhanced ART counseling and repeated VL test, among others. Ensure all clients are contacted or have an attempted contact and they receive the appropriate service.

            • To ensure clients are tracked across multiple venues (e.g. Decentralized Drugs Distribution pick up points, Community Center and MOH clinics) for both management and reporting purposes

            • To develop and provide escalation of actions to be taken to ensure linkage to care for ART and PrEP, VIA and TB services; ART adherence, retention and viral load suppression; PrEP continuation among others.

            • To collaborate with clinic staff, Linkages Case Managers (Sister in charge), and PSS/VMMC for care coordination

            • To ensure all clients are verified prior to testing and ART initiation

            • To ensure all clients initiated on ART and PreP are entered into the CMIS system and drop ART files to facilities where clients have been linked

            • To lead the development/review of the Linkage and Case Management (LCM) Standard Operating Procedures (SOP) for the project, in coordination with the Project Clinical Manager. Revise quality assurance policies and procedures and monitor the implementation of those polices.

            • To daily maintain the Linkage and Case Management database; daily review progress along the cascades and progress to targets; coordinate with the SI team on data entry and management, reporting

            • To conduct weekly mentoring visits to the centre linkages officers and produce weekly, monthly, and quarterly reports

            • To ensure all policies align with MOH and PEPFAR guidelines.


              • Bachelor’s Degree in Nursing

              • NARTIS trained

              • Knowledge of Guidelines/SOPs used in service delivery in ART and Prep and integrated services and referral and linkages

              • Minimum 2 years experience in linkage case management

              • Ability to self-manage results to meet program objectives.

              • Adaptability of programming, management and oversight to meet current program and client needs.


                • Ability to manage complex situations with both program staff and facility staff

                • Proven skills in the implementation of HIV prevention, care, and treatment projects for female sex workers, and/or men who have sex with men, and/or transgender individuals in Eswatini

                • Proven skills in mentoring, leadership and networking.

                • Electronic Medical Record and CMIS system knowledge preferred

                • Sensitivity to cultural differences and understanding of the political and ethical issues surrounding public health issues among key populations in Eswatini.

                • Experience working with civil society organizations to plan and implement HIV and/or health-related activities.

                • Ability to travel within country or region and internationally, if needed.

                  Typical Physical Demands:

                  • Community programming in an environment that is varied with both day and night-time hours.

                  • Ability to sit and stand for extended periods of time.

                    Travel Requirements:

                    • 25% -40%, within Eswatini

                      This job posting summarizes the main duties of the job. It neither prescribes nor restricts the exact tasks that may be assigned to carry out these duties. This document should not be construed in any way to represent a contract of employment. Management reserves the right to review and revise this document at any time.

                      FHI 360 is an equal opportunity and affirmative action employer whereby we do not engage in practices that discriminate against any person employed or seeking employment based on race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, marital status, physical or mental disability, protected Veteran status, or any other characteristic protected under applicable law.

                      FHI 360 will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws.

                      FHI 360 fosters the strength and health of its workforce through a competitive benefits package, professional development and policies and programs that support a healthy work/life balance. Join our global workforce to make a positive difference for others — and yourself.

                      Please click here to continue searching FHI 360's Career Portal.

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